Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Alfred, NYSOTA

Individual provider Occupational Therapy Assistant · NPI 1124170923

Charles Alfred, NYSOTA is an Occupational Therapy Assistant in Glen Cove, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

141 Dosoris Ln Glengariff Health Care Ctr
Glen Cove, NY 11542-1225
Phone: (516) 676-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 006539 (NY)

Record details

NPI number1124170923
Entity typeIndividual (Type 1)
GenderMale
Credentials NYSOTA
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESOctober 12, 2016

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